Insurance AR Specialist
The Insurance AR Specialist will follow-up with insurance companies and ensures claims are paid/processed.
Specific Job Duties Include but are not Limited to:
- Servicing each account in priority of importance and independently billing accounts with understanding of all applicable insurance and/or CMS regulations.
- Resubmits insurance claims that have received no response or are not on file, in a timely manner according to each insurance's contracted filing limits.
- Reviews and appeals unpaid and denied claims. This includes analysis of coding that assures proper billing.
- Makes changes to demographic information as necessary in order to produce a clean claim.
- Researches and prepares insurance credits for refund approval. Coordinates with accounting to post and mail those approved refunds.
- Prioritize work to maximize turn around time.
- Meets or exceeds productivity standards in the completion of daily assignments and accurate production.
- Maintain an error rate in accordance with departmental policy.
- Answer and respond to external and internal phone calls in a timely and professional manner.
- Check and respond to email in a timely and professional manner.
- Performs all other assigned duties.
- Conducts self in accordance with the company's standard values and policies.
- Participates in a variety of educational programs, corporate and professional, to maintain current skill and competency levels.
Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
Demonstrates computer literacy
Well-organized with attention to detail
Ability to read and understand oral and written instructions
Excellent math skills
Ability to establish and maintain effective working relationship with team members, clinic staff, payers and patients
Professional customer service skills.
Has a desire and dedication to work with self-discipline
Naturally, we provide all the benefits you would expect from a world-class organization. Also, since we are in an office environment, you can expect weekends and holidays off so you can enjoy a beneficial work-life balance. Don’t wait to take control of your life. Contact us and tell us how you can add value to our team. We look forward to hearing from you.